Anuria | | involuntary nocturnal urination |
burning on urination | | dribbling after void, hesitancy, decreased force, frequency, hematuria, UTIs, nocturia |
dysuria | | untreated strep infection, or scars/infection |
enuresis | | suprapubic pain (related to bladder), urethral pain (irritation of bladder neck), flank (CVA) pain |
frequency | | peritonitis, infection @ access site, outflow problems - try turn, reposition, bleeding, hernias, atelectasis from reduced movement and reduced airway |
hesitancy | | force fluids if general anesthesia is used, and patient consent signed |
incontinence | | Take full course of antibiotics even if symptoms improve |
nocturia | | dull to colicky pain, hematuria |
oliguria | | Inflammation of the glomeruli |
bladder pain | | passafe of urine containing gas |
pneumaturia | | Benign prostatic hyperplasia. Aging, and male hormal imbalance |
polyuria | | immobiliation, hyperparathyroidism, typically in males |
retention | | frequency of urination at night |
stress incontinence | | stinging pain in urethral area |
S/S of UTI | | clean perineal area with alcohol wipe, catch urine saple midstream for best specimen |
drug is nephrotoxic means | | avoid food containing pruine (red meat, alcohol), treat with allopurinol, increase fluids, strain urine |
Examples of nephrotoxic drugs | | inability to voluntarily control discharge of urine |
What is clean catch midstream? | | painful or difficult urination |
How should patient do clean catch midstream? | | Control the bleeding, bleeding is light pink color |
What is cystoscope? | | mechnical removal of water and blood like an artificial kidney |
Why is cystoscope done? | | increased instra-abdominal pressure |
Pre-operation cystocope instruction | | inflammation of the renal parenchyma and collecting system |
Post-operation cystoscope instruction | | delay or difficulty in initating urination |
normal creatinine clearance | | Drugs that cause toxicity to kidneys |
What instructions should you give a patient taking antibiotics for UTI? | | Calcium ocidate and uric acid |
What should you tell a patient to prevent UTI? | | large volume of urine in a given time |
What is glomeruloneprhtis? | | Urine analysis |
What causes glomerulonephrtis? | | meds to block androgen, turp |
What is the treatment of glomerulonephrtis? | | inability to urinate even though bladder contains excessive amount of urine |
What is BPH? | | Laser, TURP, loop resection, radial cystectomy w/ diversion, radiation, intravesical therapy with chemo |
What are the S/S of BPH? | | rest, DECREASED Na, protein, fluids, and antibiotics |
Treatment of BPH | | infection, irritable bladder |
pyelonephritis | | due to progressive disorcer, irreversible |
What to do for a CBI? | | disequilibrium syndrome, hypotension, muscle cramps, anemia, sepsis, hepatatitis |
What is a kidney stone? | | 15-34 years old |
Are there different kinds of kidney stones? If yes, which | | burning, pink tinged urine, and urinary frequency are expected, bright red is not normal, watch for orthostatichypotension, offer warm bath, monitor temp |
What causes kidney stones? | | Nephrolithiasis or urinary tract calculi |
What are the S/S of kidney stones? | | no production of urine, output less than 100mL in 24 hours |
What is the treat of kidney stones? | | Treatment of choice for older adults as well as for those who can't take anticoagulatnts, people with chronic infections or unstable clients |
Nursing intervention for kidney stones? | | gentamicin, NSAIDs, Motrin |
Calcium oxidate kidney stone treatment | | If able to pass stone, strain urine until it's passed. Lithotripsy or surgey |
Uric Acid kidney stone treatment | | procedure to visualize the bladder |
S/S of bladder cancer | | Wiping front to back, drink lots of fluid, urinate after intercourse, drink cran. juice |
Treatment of bladder cancer | | burning, urgency, dysuria |
stress incontinence | | restrict amount of milk/calcium and no coffe/caffeine/chocolate/beer or Increased Calcium |
urge incontinence | | 70-135 mL / min |
peritoneal dialysis | | r/t obstruction, infection usually reversible, SHOCK, MI, nephrotoxins, decreased cardiac output - may take up to 12 hours to treat -- TREAT UNDERLYING ISSUE |
hemodialysis | | narcotics, morphine, dilaudid, B & O suppository, muscle relaxer to reduce constriction |
complications of peritoneal dialysis | | They are no longer producing erythropoetin |
complications of demodialysis | | increased incidence of urination, blood in urine |
Explain why patients that are diagnosed with Chronic Renal Failre are anemic | | tubular lighted scope for bladder inspection |
What age are you likely to see testicular cancer in | | gross painless hematuria, frequency, urgency |
Acute Renal Failure | | involuntary urination with increased pressure (sneezing or coughing) |
Chronic Renal Failure | | diminished amount of urine in a given time (24-hr urine output of 100-400 mL) |